Erschienen in:
01.05.2012 | Computed Tomography
Spectral Hounsfield units: a new radiological concept
verfasst von:
Michael Anthony Hurrell, Anthony Philip Howard Butler, Nicholas James Cook, Philip Howard Butler, J. Paul Ronaldson, Rafidah Zainon
Erschienen in:
European Radiology
|
Ausgabe 5/2012
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Abstract
Objective
Computed tomography (CT) uses radiographical density to depict different materials; although different elements have different absorption fingerprints across the range of diagnostic X-ray energies, this spectral absorption information is lost in conventional CT. The recent development of dual energy CT (DECT) allows extraction of this information to a useful but limited extent. However, the advent of new photon counting chips that have energy resolution capabilities has put multi-energy or spectral CT (SCT) on the clinical horizon.
Methods
This paper uses a prototype SCT system to demonstrate how CT density measurements vary with kilovoltage.
Results
While radiologists learn about linear attenuation curves during radiology training, they do not usually need a detailed understanding of this phenomenon in their clinical practice. However SCT requires a paradigm shift in how radiologists think about CT density.
Conclusion
Because radiologists are already familiar with the Hounsfield Unit (HU), it is proposed that a modified HU be used that includes the mean energy used to obtain the image, as a conceptual bridge between conventional CT and SCT. A suggested format would be: HUkeV.
Key Points
• Spectral computed tomography uses K-edge and slope effects to identify element signatures.
• New visualisation tools will be required to efficiently display spectral CT information.
• This paper demonstrates HU variation with keV using the Medipix3 chip.
• HU
keV
is a suggested format when stating spectral HU measurements.